Jesse Kabana, MSN, CRNP, FNP-C is a medicare enrolled "Family Medicine" physician in Blakely, Pennsylvania. His current practice location is
1716 Main St, Blakely, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 342-3314.
Jesse Kabana is licensed to practice in Pennsylvania (license number SP026173) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184344376.
Physician's Profile
| Full Name | Jesse Kabana |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1716 Main St, Blakely, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184344376
- Provider Enumeration Date: 08/30/2022
- Last Update Date: 08/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012386402
- Enrollment ID: I20231203000058
Medical Identifiers
Medical identifiers for Jesse Kabana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184344376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | SP026173 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesse Kabana allows following entities to bill medicare on his behalf.
| Entity Name | Hematology And Oncology Associates Of Northeastern Pa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164538724
PECOS PAC ID: 9436053733
Enrollment ID: O20031119000826 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Kabana is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jesse Kabana, MSN, CRNP, FNP-C
1120 Foster St,
Scranton, PA 18508-2123
Ph: (570) 778-7210 | Jesse Kabana, MSN, CRNP, FNP-C
1716 Main St,
Blakely, PA 18447-1362
Ph: (570) 342-3314 |
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